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Regenerative Medicine of South Alabama, LLC

Details

Name: Regenerative Medicine of South Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Apr 2019 (6 years ago)
Entity Number: 000-548-363
Register Number: 000548363
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 108 Fairwood BlvdFairhope, AL 36532
Registered Office Street Address ZIP Code: 36532

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922641406 2019-10-28 2020-10-07 3929 AIRPORT BLVD STE 3-110, MOBILE, AL, 366092234, US 3929 AIRPORT BLVD STE 3-110, MOBILE, AL, 366092234, US

Contacts

Phone +1 251-307-1855
Fax 2513010870

Authorized person

Name DR. KYLE LOPEZ
Role PRESIDENT
Phone 2514903235

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role
Lopez, Kyle Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State